| Triple R Recovery Llc | |
|
21985 Dixie River Rd # 102 Caldwell ID 83607-9027 | |
| (208) 615-7599 | |
| Not Available |
| Full Name | Triple R Recovery Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 21985 Dixie River Rd # 102, Caldwell, Idaho |
| Authorized Official Name and Position | Kathleen Marie Mattix (SUBSTANCE USE DISORDER COUNSELOR) |
| Authorized Official Contact | 2086157599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Triple R Recovery Llc 21985 Dixie River Rd # 102 Caldwell ID 83607-9027 Ph: (208) 615-7599 | Triple R Recovery Llc 21985 Dixie River Rd # 102 Caldwell ID 83607-9027 Ph: (208) 615-7599 |
| NPI Number | 1922811157 |
|---|---|
| Provider Enumeration Date | 01/30/2025 |
| Last Update Date | 01/30/2025 |
| Certification Date | 01/30/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922811157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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